• Scoring
  1. Weight
    1. Weight >20 kg: Score +2
    2. Weight 10-20 kg: Score +1
    3. Weight <10 kg: Score -1
  2. Airway
    1. Normal Airway: Score +2
    2. Maintained Airway: Score +1
    3. Invasive Airway (e.g. intubated): Score -1
  3. Systolic Blood Pressure
    1. SBP >90 mmHg: Score +2
    2. SBP 50-90 mmHg: Score +1
    3. SBP <50 mmHg: Score -1
  4. Central Nervous System
    1. Awake: Score +2
    2. Obtunded: Score +1
    3. Coma: Score -1
  5. Open Wound
    1. No Open Wound: Score +2
    2. Minor Open Wound: Score +1
    3. Major Open Wound: Score -1
  6. Skeletal Trauma
    1. No Skeletal Trauma: Score +2
    2. Closed Fracture: Score +1
    3. Open Fracture or Multiple Fractures: Score -1
  • Interpretation
  1. Score Range: +12 to -6
  2. Trauma score <= 8 indicates significant mortality risk
  • References
  1. Tepas (1987) J Pediatr Surg 22:14-18 [PubMed]